The Effectiveness of Situational Assessment Model: Application of Persons with Chronic Mental Illness
Date Issued
2009
Date
2009
Author(s)
Nai-Yu Deng
Abstract
Background and purpose: Returning to work in competitive employment is an important goal of vocational rehabilitation (VR) for persons with chronic mental illness (CMI). Effectiveness vocational evaluation provides appropriate suggestions and strategies for VR professionals when they help persons with CMI seek for a job. The purpose of this research was to compare several vocational evaluation models usually used in Taiwan to examine the effectiveness of situational assessment when being applied to persons with CMI.ethods: Persons with CMI who had the handbook for the Disabled and lived in Northern Taiwan were classified as receiving situational assessment last for three to five days, present vocational evaluation in Taiwan, and no vocational evaluation service. Total of the participants were one hundred and fourteen and were divided into three groups, including situational assessment group (SA group, N=34), vocational evaluation group (VE group, N=40) and non-vocational evaluation group (non-VE group, N=40).esults: (1) Service time domains: Days of service and vocational evaluation in SA group were significantly less than VE group and non-VE group (p<0.005; p=0.03). (2) Employment Stable related domains: Days of waiting, times of work matching, and days of achieving employment stable in SA group were significantly less than VE group and non-VE group (p<0.005; p=0.029; p=0.002). Almost seventy percent (67.6%) of the participants in SA group worked in supported employment when they stopped the VR service. (3) Effectiveness of vocational evaluation domains: Hours of vocational evaluation in SA group were significant more than VE group (p=0.004); however, the rate of adopting suggestions in SA group was significant higher than VE group (p<0.0005). (4) The results of services survey in SA group demonstrated that twelve VR professionals had been satisfied with situational assessment, and agreed that the results had provided them information about work characteristic of persons with CMI.iscussion: (1) The earlier were person with CMI referred to situational assessment services, the shorter were they served in the process of VR. (2) Using situational assessment resulted in higher rate of employment stable, more information about work characteristic person with CMI, shorter waiting time, and earlier achieving goals of employment stable. (3) Although situational assessment took a long time, it was used to observe the work behavior to get helpful information about work characteristic more effectively in comparison with vocational evaluation. As a result, situational assessment not only helped the professionals make a vocational rehabilitation plan, also improved their degree of satisfaction.onclusion: To sum up, situational assessment applied to persons with CMI who were in the process of VR could increase understanding of their work characteristic, making them return to work earlier, having better vocational outcome, shortening the service time, and adding the rate of employment stable and the degree of satisfaction.
Subjects
situational assessment
chronic mental illness
vocational evaluation
SDGs
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